High school student had rectal cancer at the age of 17 and could only live with fistula.
Things start from Half a year ago. At that time, Xiaojie always felt anal pain , and the pain continued to worsen, but he did not take it seriously. It was not until two months ago that Xiaojie showed bright red bloody stool , and he went to county-level hospital for treatment.
Through colonoscopy , there was a suspicious tumor in the lower part of Xiaojie's rectum, which was suspected to be cancer. So after being transferred to a local provincial hospital for pathological examination, the prompt was adenocarcinoma .
Finally, the family came to Guangzhou for medical treatment. The doctor used anal test to confirm that tumor is less than 2cm away from the anus and surrounds the rectum for about 3/4 weeks. Can this low-level tumor protect the anus?
In the end, in order to completely remove the tumor, Xiaojie had no choice but to undergo abdominal wall colostomy , which means that Jiezai needs to survive with a fistula at a young age.
Moreover, Jie Zai has no family history of cancer, but he was diagnosed with rectal cancer at a young age. The doctor said that everyone should pay attention to gastrointestinal physical examination.
1. Most rectal cancers are dragged out
Like Jie Zai in the case, the anal pain symptoms last for half a year and start blood stool before going to check. At this time, the tumor began to infiltrate locally. Although the operation was very successful, he would live a different life in the future.
Intestinal cancer does not occur suddenly. It often starts with normal mucosal hyperplasia and gradually forms adenoma. Adenomas eventually become cancerous under the influence of various factors. This process takes about 5 to 10 years.
Relevant data points out that 97% of colorectal cancer patients have not had colonoscopy before diagnosis. Most patients are like Jie Zai. They usually do not have the awareness of screening for intestinal cancer. They did not go to the doctor until they felt uncomfortable, and therefore missed the best treatment opportunity.
The symptoms of intestinal cancer are relatively secretive and are easily confused with hemorrhoids and are ignored by people. If the following five symptoms occur, beware and do colonoscopy screening as soon as possible:
Defecation habits have changed : If there are more bowel movements, constipation or alternating constipation and diarrhea, it should be suspected that rectal cancer tumors are blocked in the intestines.
Deformed stool: If people with normal stools find that the stool suddenly becomes thinner, it may be that the tumor blocks the intestines and causes the excreted stool to become thin rods or flat belts.
Pain, abdominal distension, indigestion : Rectal cancer often causes pain and bloating to varying degrees in the middle and lower abdomen. The early symptoms are mostly intermittent, but in the later stages, they are persistent.
Bloody stool : Bloody stool is the earliest manifestation of intestinal cancer. The amount of bleeding is not large, but it is mainly dark red, mixed with mucus, which will appear during or after stool, which is different from hemorrhoids spray-like or dripping bloody stool.
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2. Why do colorectal cancer prefer Chinese people?
related statistics show that in 2015, the new cases and deaths of colorectal cancer in China were divided into 387,000 and 187,100. According to the global cancer data in 2020 released by WHO , the number of new cases and deaths of colorectal cancer in my country has risen to 555,000 and 286,000.
Compared with foreign data, New deaths in colorectal cancer in my country are increasing year by year, and the trend of younger age is becoming more and more obvious . Professor Liu Deliang from the Department of Gastroenterology of Xiangya Second Hospital of Central South University said that it may be related to three factors:
First of all, modern young people prefer unhealthy foods such as high calories and high fats , which not only leads to obesity, but also increases the risk of diabetes and enteropathy, which are all risk factors for intestinal cancer.
Secondly, modern young people generally have a fast pace of life, , and lack exercise, especially negative emotions such as depression and anxiety, which can also increase the risk of intestinal cancer.
Finally, some studies have pointed out that toxic substances in the environment and abuse drugs may be related to the occurrence of colorectal cancer.
3. Viscosm and colonoscopy are both premature screening tools, why are you unwilling to do it?
"Anal Finger Examination" Have you done it? Data shows that the rate of anal fingerprint detection abandonment is around 30% to 60%.
The reason why many people resist anal test is nothing more than shyness and embarrassment. Some people think this test is "useless". Here, the name of anal test must be corrected.
No other instruments are used for anal tests. Its advantages are economical, simple, fast and low invasive. Doctors can intuitively feel whether there are lesions in the middle and low rectum.
However, for the whole colon screening, it is recommended to use colonoscopy as the main method.
For experienced doctors, the detection rate of polyps through colonoscopy can reach 95% or more, and the screening rate of early intestinal cancer is as high as 96%, which can distinguish lesions of 1 to 2mm, and can also be removed when polyps are found.
colonoscopy is the gold standard for diagnosis, especially for 0-75-year-old people . If one of the following conditions occurs, colonoscopy screening should be performed regularly:
- 1 stool occult blood test result is positive
- Once UC, colorectal adenomatous polyps or Crohn's disease
4. Should you protect your anus or life? How to choose patients with rectal cancer?
The patient who cuts off the anus will lead the intestines to connect to the artificial pocket in the stomach. Because the bowels cannot be controlled, he needs to carry the artificial pocket for a long time. It can be said that he is suffering from physical and mental torture.
Can patients with intestinal cancer protect their anus? In fact, there are two key factors. . One is the degree of tumor invasion . The higher the degree, the more difficult it is to protect anus . The second is the anal function before the surgery. For example, in the elderly or those with anal insufficiency, anal protection surgery will affect future life.
The incidence of rectal cancer is very slow, but the vast majority of colorectal cancer patients in my country are diagnosed in the middle and late stages, so prevention is greater than treatment. suggests that everyone bid farewell to "three more two less" .
that is, high-protein, high-fat and high-calorie foods should not be eaten too much, and exercise and dietary fiber should not be too little. At the same time, we should also pay attention to regular physical health checkups.
Summary: Colon cancer is almost asymptomatic in the early stages or is easily confused and misdiagnosed. It may have been a small polyp, but when you are not paying attention, it grows quietly and then suddenly occurs on one day. Therefore, if you have bleeding stools and abnormal defecation in your life, you should actively seek medical treatment without taking chances.
Reference:
[1] "A hemorrhoid is a hemorrhoid for half a year, and it is too unfair to detect intestinal cancer - the doctor reminds: These 5 symptoms are not hemorrhoids, but intestinal cancer! 》. Medical Digestive Liver Disease Channel.2022-06-05
[2] "Why do colorectal cancer prefer Chinese people? How to prevent it? You must know these 3 knowledge points". Medical Cancer Friends Association. 2021-05-30
[3] "The examination that many people are shy and refuse can make 5 diseases appear immediately! 》. Future Doctor Official Number.2022-07-28
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